Provider Demographics
NPI:1275193732
Name:O'BRIAN, TURNER JO'STEVEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:TURNER
Middle Name:JO'STEVEN
Last Name:O'BRIAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1072 BARNES MILL RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8729
Mailing Address - Country:US
Mailing Address - Phone:858-353-3004
Mailing Address - Fax:
Practice Address - Street 1:750 SHAKER DR APT 526
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3750
Practice Address - Country:US
Practice Address - Phone:606-483-1938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY102821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice